Year: 2026 | Month: March | Volume: 13 | Issue: 3 | Pages: 423-426
DOI: https://doi.org/10.52403/ijrr.20260348
Non-surgical Resolution of Chronic Anal Fissure through Integrative Therapy: A Case Report
Dr. M. Mojibul Haque1,2, Dr. Syeda Shayan Zehra1, Dr. Shamin Ara Jahan Tonny2
1The Center of Integrative Medicine, Texas, USA
2American Wellness Centre, Dhaka, Bangladesh
Corresponding Author: Dr. Syeda Shayan Zehra, M.D.
ABSTRACT
Background: Anal fissure is a common anorectal disorder characterized by pain, constipation, and rectal bleeding, often impairing daily activities. While surgical sphincterotomy is considered the standard treatment for chronic fissures, conservative strategies are increasingly explored as safer alternatives.
Objectives: To describe the outcome of a multimodal conservative regimen in a patient with chronic anal fissure, highlighting the role of integrative therapy in achieving complete recovery without surgical intervention.
Methods: A 55‑year‑old female presented with constipation, rectal bleeding, and anorectal pain. Clinical evaluation and proctoscopy confirmed the diagnosis of anal fissure. A multimodal conservative regimen was initiated, including topical therapy, oral supplements, dietary modification, probiotics, and weekly ozone therapy. The patient was followed over two visits spanning two months.
Results: Progressive improvement was observed. Constipation resolved, rectal bleeding ceased, pain subsided, and overall quality of life improved. Follow‑up confirmed fissure healing. No complications were reported during therapy.
Conclusions: This case demonstrates that combining lifestyle modification, gut microbiota support, and ozone therapy can achieve complete recovery in anal fissure without surgical intervention. Conservative multimodal strategies may provide effective symptom relief and healing in selected patients, reducing reliance on surgery. Limitations include the single case design and absence of long‑term follow‑up. Larger studies are needed to validate reproducibility and long‑term outcomes.
Keywords: Anal fissure, Conservative management, Ozone therapy, Probiotics, Rectal bleeding, Case report
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